Mentee Application

Mentee must be a DBIA member in good standing.

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Email

Which best describes you:

Young Professionals & Industry Practitioners

Current Job Title

Credentials/Licenses

Current Employer

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Start Date

Format: MM/YY

Total Years of Industry Experience

Where are you currently enrolled?

When will you graduate?

Market Sectors Interest

Other

Why/how did you choose your current career?

Where do you want to go from here – what are your career goals?

What are you currently doing to help move you towards your goal(s)?

What obstacles have you faced that are preventing you from achieving your goal(s)?

What do you believe you can do to help overcome your obstacles

How do you envision a mentor assisting you in your career goals?

Do you have any specific requests as it relates to a mentor (i.e., field of work, market sector, gender, etc.)?

Please sign below your agreement and understanding of the following:

As a mentee you are responsible for gaining your mentors’ trust and confidence by interacting morally, ethically, and collegially.
You will value the mentor’s time, professional and personal commitments.
Availability of mentors is based on demand. DBIA cannot guarantee that a mentor will be available immediately upon request and cannot guarantee that any specific requests noted above can be fulfilled.
Once a mentor is selected, you hold primary responsibility for the initial outreach to and engagement of the mentor.
The mentor/mentee relationship is for a one-year period and can only be extended upon written, mutual agreement of both the mentor and the mentee.

Signature

Date

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